There are 5 stand-alone Medicare Part D plans in Louisiana meeting your criteria.
Caution: The 2009 Medicare Part D plan information below is for research purposes.
Click here to see 2024 Medicare Part D plans
TOVIAZ TABLETS 4MG EXTENDED RELEASE (30 BOT) (NDC: 00069024230) 2009 Medicare Prescription Drug Plan (PDP) Information Click here for the Chart Legend | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible | Does Plan Offer Gap Coverage | Drug Tier Information | Cost-Sharing | Drug Usage Mgmt |
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---|---|---|---|---|---|---|---|---|---|
Tier Nbr. |
Tier Desc. |
30-Day Prfrd. Pharm |
90-Day Order |
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Aetna Medicare Rx Essentials |
$30.70 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | S | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$39.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $58.00 | $116.00 | S | |
Browse Plan Formulary | |||||||||
RxBLUE |
$45.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $73.00 | $219.00 | Q:34 /34Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$59.70 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $76.00 | $152.00 | S | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$92.10 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | S | |
Browse Plan Formulary |
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